Diedra Louise Denton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D18792 Issued in TX

Practice address

1911 N Austin Ave
505
Georgetown, TX 78626-4543

Phone

(512) 869-0769

Fax

(512) 864-2444

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407958663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N AUSTIN AVE",
            "address_2": "505",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-869-0769",
            "fax_number": "512-864-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N AUSTIN AVE",
            "address_2": "505",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264543",
            "telephone_number": "512-869-0769",
            "fax_number": "512-864-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "DIEDRA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "D18792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen L Dennis, MD
• Dental Health Associates of Texas, PC
• Dental Health Associates of TX, P.C.
• Benjamin Denton
• David Denton, PA-C
• Robert F Denyer, DO
• Nisha Desai, O.T.
• Lawrence Devine Jr., PHARMD.
• Jordan Lea Dewberry, RN
• Amanda Lynn Dibenedetto, FNP - C

• General Practice Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.